2004-137 TOWN OF QUIEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20040137 Date Issued: Monday, July 09, 2007
This is to certify that work requested to be done as shown by Permit Number P20040137
has been completed.
Tax Map Number. 523400-301-013-0001-061-000-0000
Location: 5 IROQUOIS Dr
Owner. ROBERT & KIMBERLY WING
Applicant: ROBERT & KIMBERLY WING
This structure may be occupied as a:
Inground Pool
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the - --
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals b the
pp y Director of Building&C6&Enf4eement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040137 Application Number: A20040137
Tax Map No: 523400-301-013-0001-061-000-0.000
Permission is hereby granted to: ROBFRT &KTN TBF,RT,Y WTNCT
For property located at: 5 IROQUOIS Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: ROBERT &KIM BERLY WING
5 IROQUOIS Dr I l
Tootalral Value
Pool
alue
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
SPRACTITE POOLS
294 BROADWAY
FORT EDWARD. NY
Plans&Specifications
2004-13 7 INGROUND POOL
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 06, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at theX own Que b es ,April 06, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Application for Swimming Pool Permit permitNo. -
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Fee Paid _3 PD
Instructions and requirements are attached. Notes:
1. Applicant/Owner /Contractor or Installer Information:
istalleV
3..s
0016
A�`ddress��¢
h
�Pl��one � (1
2. Person Responsible for Code Requirements:
CTjo ra U25 P,00 /b
3. Pool Location Address: 1 X_0. V O iS bl? Tax Map o. SG/. 13
4. Swimming Pool Information: (check whichever applies and fill in the blanks)
A. °ype of Pao ❑Above ground pool NIKground Pool
��/ '(/� A
B s�2�ofPoal� Length sL_ / width�7 ft. / diameter ft. / depth ft.
C. Materzzi s used zn canstruatcorz: -41steel/vinyl; ❑fiberglass; ❑gunite; ❑poured concrete;❑other
5. Fencing Requirements for above-ground & inground swimming pools:
A. If an above-ground,indicate height from ground-grade to top of pool height �� inches
Note: If your above-ground pool is less than 48 inches above-grade, a fence must be installed within
the area of the pool.
If your above-ground pool is exactly 48 inches above-grade or more,a lift-up ladder with lock
must be installed.
B.. If an inground pool,a fence must be installed meeting NYS Regulations,Appendix G.
6. Pool Pump Requirements—Time Clocks:
Pool.pumps must be equipped with time clocks so the pumps can be set to shut off during periods of peak utility electrical
demand and set to control the length of time during which the filter runs.
c
7. Final Inspection Information:
You are responsible for scheduling the following: A) Electrical Inspection; B) Final Certificate of Compliance Inspection
An electrical inspection is required before the Certificate of Compliance is issued. See attached sheet listing electrical inspectors.
The inspectors are contracted through the Town of Queensbury and you are responsible for payment to them directly. Their fee is
not part of this application.
A final inspection by the Queensbury Building&Codes Office is required before use of the pool is authorized. The Code Officers
will look for an approved electrical in ection(sticker on the panel box)and proper fencing around the pool or lift-up ladder.
Signature of Applicant: Date: lJ
Signature of Owner: / �- �) i ��� Date:
1
�p }
T0VVrV 0' ^^•
QUI!!�r urcY
v BUILDING & COD DEPT.
REVIEWED BY
I ..
ATE
I
?oo
tr
r "
f
I
A tentiot! Home Owner
(-,VE, Place assure you are familiar with the
Pool Errol®sure requirements specific to
Your pool. We will be happy to explain
what Requirements you will have to
rneet per Appendix G Of the
New York State Residential Code.
l
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received: 1'3- �
NAME: k_�k��G —LOCATION: 5_Q
PERMIT#:
INSPECTED ON: am/pm
Arrive: am/pm Depart: am/pm
Inspector's Initials: �
Above Ground: IIn-Ground:
Y N N/A
Pool enclosure around pool
or yard
4 feet above grade
2 inch maximum clearance
to grade from underside of
fence
4 inch maximum clearance
in fence pickets
Wall or Doors have self
closing device or alarms.(30
second Alarm time)
Ladder secured in place and
latched
Deck gate < 56" to latch no
more than ''/z" spacing in
ate openings
Gate open outward, self
closing
Padlock provided on gates
and ladder
Indoor pool all doors self
closing or alarmed per
AG105.2 Item 9
Timer on pool pump (no
plug in timer allowed
Final electrical
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS: T
Cam• �---'
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
NAME:
LOCATION:
PERMIT#:
INSPECTED ON: am/pm
Arrive: am/pm Depart:I f N ^ am/p
Inspector's Initials: ��""`�
Above Ground: In-Ground:
Y N N/A
Pool enclosure around pool
or yard
4 feet above grade
2' inch maximum clearance
to grade from underside of
fence
4 inch maximum clearance
in fence pickets
Wall or Doors have self
closing device or alarms (30
second Alarm time)
Ladder secured in place and
latched
Deck gate < 56" to latch no
more than %2" spacing in
ate openings
Gate open outward, self
closing
Padlock provided on gates
and ladder
Indoor pool all doors self
closing or alarmed per
AG105.2 Item 9
Timer on pool pump (no
lug in timer allowed
Final electrical
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS-
'y
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road, Queensbury,NY 12804
Date received:
01
NAME: C.
LOCATION: F
PERMIT#: O t--1
INSPECTED ON- / (�0-05am/pm
Arrive: a Depart: ain/pm
Inspector's Initials:
Above Ground: In-Ground: V
Y N NIA
Pool enclosure around pool
or yard
4 feet above grade
2 inch maximum clearance
to grade from underside of
fence
4 inch maximum clearance
in fence pickets
Wall or Doors have self
closing device or alarms (30
second Alarm time)
Ladder secured in place and
latched
Deck gate < 56" to latch no
more than %" spacing in
ate openings
Gate opens outward, self
closing
Padlock provided on gates
or ladder
Indoor pool all doors self
closing or alarmed per
AG105.2 Item 9
Timer on pool pump (no
lug in timer allowe )
Final electrical C�,v `e) i
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Sj
Permit No..................... ..............Cert. N P 78055 Cut-in Card No........IQ.lA... ... .
Owner........................ ................ .............................................................
Location............... ...........ZRQ.c.�. .l��.s....o.R- :.............................
............................................
Installation Consisting of....f�il........................lzo�n/�,,,,,,,,.,f
.........
...................................L c1.Lizih..G-.. ..hQrL .t.l?G-. .................................................................
....................................................................................................................................................................................
InstalledBy.....Jf4t? . ...............................................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued.is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
Date........ .-.,3. �.. ............ INSPECTOR .................................
Pool Inspection
Queensbury Building&Code Enforcement
Office No. (518)761-8256
742 Bay Road,Queensbury,NY 12804
Date received:
NAME:
LOCATION:
PERMIT#:
INSPECTED ON: am/pm
Arrive: am/pm Depart: am/pm
Inspector's Initials:
Above Ground: In-Ground:
Y N N/A
Pool enclosure around pool
or yard
4 feet above grade
2 inch maximum clearance
to grade from underside of
fence
4 inch maximum clearance
in fence pickets
Wall or Doors have self
closing.device or alarms(ao .
second Alarm time)
Ladder secured in place and
latched
Deck gate < 56" to Iatch no
more than %2" spacing in
ate openings
Gate open outward, self
closing
Padlock provided on gates
and ladder
Indoor pool all doors self
closing or alarmed per
AG105.2 Item 9
Timer on pool pump (no
plug in timer allowed
Final electrical
Vehicle access gate closed
&locked
Ok to issue C/C
COMMENTS:
9
TOWN OF QUEEMBLTRY
742 Bay Road, Queensbury, NY. 12804-5902
www.queensbury.net
Permit Applicant Property Owner
ROBERT&KIMBERLY WING
5 IROQUOIS Dr
QUEENSBURY,NY 12804-0000
1 st Notice
nd Notice
The permit listed below expired on : 04/06/2005 _3rd Notice
4th Notice
Application Number Permit Number Permit Twe
A20040137 P20040137 Inground Pool
Our office needs to inspect your pool for compliance to the New York State Pool Enclosure Regulations.
Please call our office at 761-8207 or 761-8256 to set up an inspection.
The following items need to be verified for compliance:
Pool Enclosure
Self-closing, self-latching, padlock gate and/or ladder
Electrical Inspection
Doo re part of enclosure need alarm or self-closing, self-latching device.
Pool imer
Sincerelv.
Charles Dyer
Code Enforcement Officer
Town of Queensbury Building and Codes Department
04/18/2006
"Home of Natural Beauty ... A Good Place to Live "
TOWN OF QUEENSBURY
742 Bay Road,Que�nsbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
Inspections per Permit
Permit# P20040137
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
4/30/2004 12:00:00AM Final Electric Inground Pool COMMONWEALTH ELECTRICAL
Approved 2004-137
4/20/2005 12:00:00AM Final Inspection I�ground Pool JOEL CLUGSTONE Staff
Denied 04-137 PROVIDE TIMER AS PE CODE